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Salanersen is an investigational antisense oligonucleotide (ASO) designed to increase the production of survival motor neuron (SMN) protein by modulating the splicing of the SMN2 gene. It is being developed for the treatment of spinal muscular atrophy (SMA), a rare neuromuscular disorder caused by mutations in the SMN1 gene that result in insufficient levels of functional SMN protein. Salanersen acts as an SMN2 stimulant, promoting increased expression of full-length SMN protein from the backup SMN2 gene. The drug is administered via injection and has orphan drug designation in the United States[1][3][4]. Its mechanism and therapeutic rationale are similar to those of nusinersen but it is a distinct molecule.
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